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ICD-10 Coding for Presence of Cardiac Stent(Z95.5, T82.8)

Complete ICD-10-CM coding and documentation guide for Presence of Cardiac Stent. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Coronary Stent StatusCardiac Stent Implantcoronary stentcardiac angioplasty implant

Related ICD-10 Code Ranges

Complete code families applicable to Presence of Cardiac Stent

Z95.5Primary Range

Presence of coronary angioplasty implant and graft

This code is used to indicate the presence of a cardiac stent.

Other complications of cardiac and vascular prosthetic devices, implants and grafts

Used for complications related to cardiac stents, such as displacement.

Coronary angioplasty status

Indicates angioplasty status without stent placement.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
Z95.5Presence of coronary angioplasty implant and graftUse when documenting the presence of a cardiac stent without complications.
  • Documentation of stent placement in medical records
  • Cath report confirming stent presence
T82.8Other complications of cardiac and vascular prosthetic devices, implants and graftsUse when documenting complications related to a cardiac stent.
  • Imaging or clinical documentation of stent complication

Clinical Decision Support

Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.

Key Information: ICD-10 code for presence of cardiac stent

Essential facts and insights about Presence of Cardiac Stent

The ICD-10 code for the presence of a cardiac stent is Z95.5.

Primary ICD-10-CM Codes for presence of cardiac stent

Presence of coronary angioplasty implant and graft
Billable Code

Decision Criteria

documentation Criteria

  • Presence of a cardiac stent must be explicitly documented.

Applicable To

  • Presence of cardiac stent

Excludes

  • Complications of cardiac stent (T82.8-)

Clinical Validation Requirements

  • Documentation of stent placement in medical records
  • Cath report confirming stent presence

Code-Specific Risks

  • Incorrectly using for angioplasty without stent

Coding Notes

  • Ensure documentation specifies the presence of a stent to avoid confusion with Z98.61.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Complications of cardiac stent

T82.8
Use when there are complications related to the stent.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Coronary angioplasty status

Z98.61
Use when angioplasty was performed without stent placement.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Presence of Cardiac Stent to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z95.5.

Impact

Clinical: Misinterpretation of patient history., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.

Mitigation Strategy

Use specific language in documentation., Regularly review documentation practices.

Impact

Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records.

Mitigation Strategy

Use Z98.61 for angioplasty without stent placement.

Impact

Using Z95.5 without proper documentation.

Mitigation Strategy

Ensure cath reports and patient records confirm stent presence.

Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.

Frequently Asked Questions

Common questions about ICD-10 coding for Presence of Cardiac Stent, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Presence of Cardiac Stent

Use these documentation templates to ensure complete and accurate documentation for Presence of Cardiac Stent. These templates include all required elements for proper coding and billing.

Routine Cardiology Follow-Up

Specialty: Cardiology

Required Elements

  • Patient history
  • Stent details
  • Current symptoms
  • Follow-up plan

Example Documentation

Patient with Z95.5 status post PCI with drug-eluting stent in LAD (2023). No current angina. Surveillance stress test negative for ischemia.

Examples: Poor vs. Good Documentation

Poor Documentation Example
History of cardiac procedure.
Good Documentation Example
Drug-eluting stent placed in RCA (2024) for 90% stenosis; surveillance stress test negative.
Explanation
The good example specifies the stent type, location, and current status.

Need help with ICD-10 coding for Presence of Cardiac Stent? Ask your questions below.

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